Doctor Name: | TWYLA HURST |
NPI Number: | 1083814073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP05270 |
Business Practice Address: | 3330 Barksdale Blvd Bossier Family Medical Clinic Bossier City, LA - 711123802 |
Business Phone Number: | 3188415541 |
Business Fax Number: | 3188415545 |
Mailing Address: | 3330 Barksdale Blvd., Bossier Family Medical Clinic BOSSIER CITY |
State: | LA |
Postal Code: | 71112 |
Phone Number: | 3188415541 |
Fax Number: | 3188415545 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP05270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |